Individual
DR. MICHAEL RAINISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
(954) 437-6628
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME93834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273818000
—
FL
01
—
29262
BCBSFL
FL
Enumeration date
09/22/2005
Last updated
12/16/2021
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